Common iliac artery iatrogenic aneurysm endovascular repair скачать в хорошем качестве

Common iliac artery iatrogenic aneurysm endovascular repair

60yo male, smoker, hypertensive on proper medications. In October 2017 he had a robotic prostatectomy with left and right wide lymphodissection for his сТ2сТ0M0G3 adenocarcinoma. In summer 2018 the huge iatrogenic left common iliac aneurysm was found on annual US and subsequent CTA confirmed the diagnosis. Due to a definite perivarcular process we (and the patient) chose the endovascular approach. We coiled the left internal iliac and then deployed two Bard FluencyPlus 13.5x120, 13.5x80 and balloon postdilatation 12x40 under Vision2 fusion application by GeneralElectric. This great app provides precise positioning and full procedure control, as well as minimal contrast infusion. The femoral puncture was closed with one Abbott ProGlide, total contrast volume was 30ml and total time - 50min. CTAs in 1 and 6mo were unremarkable: grafts are patent, aneurysm sac fully thrombosed without endoleaks. Immediately after the procedure patient had 20m left buttock claudication and at the time of second CTA distance was 1.5km, without any other discomfort. Now he is continuing his oncological treatment.